Supplies, such as the medications naloxone and buprenorphine, carried by Buncombe County community paramedics on the post-overdose response team. Credit: Courtesy of Justin Hall
By Rachel Crumpler
A life lost in Buncombe County in 2022 still weighs on — and motivates — Shuchin Shukla, a family physician who specializes in addiction medicine.
A community paramedic had responded to an overdose involving a person recently released from jail. After reviving them, the paramedic told the patient about a soon-to-launch program that would start people on a medication used to treat opioid addiction after an overdose.
Soon after, the person used again, experienced a second overdose and went into cardiac arrest. They later died at the hospital.
“For the team working on this, the case hit home that every moment of every day matters for patients. At any minute, they’re at risk of dying or having an overdose,” Shukla said. “That’s how critical this is.”
For months, Shukla had been working with Buncombe County Emergency Medical Services to launch Buncombe Bridge to Care, a project to equip paramedics to administer buprenorphine — a medication proven to ease opioid withdrawal symptoms, reduce cravings and support long-term recovery for people with opioid use disorder —when responding to overdoses or others in the community struggling with addiction.
Delesha Carpenter’s personal tragedy has fueled her mission to combat opioid overdoses through increased naloxone access. Her new website with UNC maps naloxone availability across NC’s 100 counties.
Delesha Carpenter began her career as a researcher focused on pediatrics. A little over seven years ago, her path took an unexpected turn following the deaths of two close friends.
“A lot of people who get into this field, it’s personal,” Carpenter said. “I lost two friends within two weeks of each other to opioid overdoses. That really inspired me to increase access to naloxone.”
The researcher and professor with the UNC Eshelman School of Pharmacy recently launched NalxoneNearMe.org. The website features an interactive map of all 100 North Carolina counties, rating them based on the number of naloxone distribution services available.
Durham County is tied with Mecklenburg County as the highest rated counties on the map with a score of 88. Wake County wasn’t far behind with a score of 77.
Carpenter told WRAL the Naloxone Availability Scores are based on the level of availability of no-cost naloxone and pharmacies that sell naloxone in each county.
Naloxone distribution resources are categorized into 14 types, including syringe service programs, EMS, harm reduction organizations, health departments, pharmacies and healthcare providers.
“The highest score a county can receive is 100, which would mean that all 14 naloxone sources included in the Naloxone Availability Score are present in that county,” Carpenter explained. “If a county had one harm reduction program in the county, they would get the same amount of ‘credit’ toward the score as a county that had two or three reduction programs.”
Increased naloxone use and availability are among the efforts researchers say have contributed to a reduction in opioid overdose deaths in recent years.
“One thing is everybody’s life is worth saving. It is important to carry naloxone, especially if you’re going to be in situations where people are going to be using drugs, you never know what is in the drugs that you’re using,” Carpenter said.
Carpenter said increasing the availability of medications for opioid use, such as buprenorphine and methadone, would also help reduce overdose fatalities.
“Other resources that people should be aware of, and one that’s linked on our website, is Naloxone Saves. Ours tells you what types of sources are available, but you can go to the Naloxone Saves website and find the actual pharmacies that carry and stock naloxone, or find your health department and whether it’s distributing naloxone,” Carpenter added.
Naloxone will not harm someone who hasn’t taken an opioid, so it is recommended even when it is unclear what kind of drug a person has taken.
More than one dose may be needed because some opioids, like fentanyl, can take a stronger hold on the opioid receptors.
WILMINGTON, N.C. (WECT) – What started as a normal day for UNCW student Alex Bradford ended in tragedy, but his father’s mission to honor his memory comes at a time with encouraging statistics about North Carolina’s fight against the overdose crisis.
“I would say by far that was the worst day of my life,” said Jeremy Bradford, Alex’s father.
Alex died in 2023 from an overdose, a life full of promise that became part of a nationwide statistic.
Jeremy Bradford heard the words no parent is ever prepared to hear.
“Because of the distance between Spring Lake and Wilmington, we didn’t initially find out. We found out through social media. Somebody texted my wife and said, ‘Hey the police and ambulance are at the boys’ apartment complex. I think something’s wrong with Alex,” Bradford said.
Jeremy says his son was having a tough day and purchased what he thought was a Percocet pill, but it was actually straight fentanyl. That was two years ago.
Now in North Carolina, the state health department reports overdose deaths are trending down.
Each day in 2023, 12 North Carolinians died from drug overdoses. But in 2024, that number decreased to 8.
Locally, numbers presented to the Brunswick County Board of Commissioners in April showed emergency room visits from overdoses decreased from 110 in 2023 to 98 in 2024.
“For the first time in over 20 years of studying this, I actually am speechless,” said Nabarun Dasgupta, a street drug expert at UNC-Chapel Hill, when asked about drug trends moving forward.
He also says trends show that most overdose deaths are between Gen X and millennials.
“What you see with Gen Z is a really different substance use pattern that’s more Psilocybin, more marijuana, a little more ketamine and ecstasy. And so they have watched their parents and their grandparents’ generations struggle with opioids and have decided that’s not the drug of choice for that generation,” said Dasgupta.
Dasgupta says there are several reasons overdose deaths are declining.
“I think we can understand the decline in overdoses in three ways. One, the drug supply is changing. Number two, people’s behaviors are changing. And number three, the demographics of who is using opioids is also changing,” Dasgupta said.
And a common activity seen in college students and drug use is sharing pills. But he says this is also on the decline.
“We see a lot less of that sharing behavior now. And that’s kind of across the board, and the problem now is not really with the prescription opioid and pills,” said Dasgupta. “Most mortalities are coming from powdered substances.”
But Jeremy Bradford believes advocacy and awareness play a role in the decline, too.
That’s why he created the 2 Out Rally Foundation to educate and advocate for mental health and empower individuals impacted by illicit fentanyl use.
They host events and advertise at places like baseball games to help parents and kids educate themselves.
“It’s been very therapeutic for our mental health to put pain to purpose. And our purpose now is to tell Alex’s story and ensure no other parent has to go through this. I’m a member of a club I never wanted to be a part of. And I don’t like new members,” Bradford said.
Bradford hopes that the death of his son will help save the lives of others, and overdose deaths will continue to decline.
“So that when it gets tough, when it is the bottom of the ninth and there are two outs, you’re not out of the game,” said Jeremy Bradford. “There’s still plenty of life to live and to move on. And you don’t need to result to a negative action that could end up taking your life.”
The Davidson County Opioid Settlement Fund Committee is looking at hiring a coordinator to oversee how to use the $12 million the county will have in opioid settlement funds.
Currently Davidson County has been paid $6.9 million in opioid settlement funds and is slated to receive another $1.9 million in the 2025-2026 fiscal year, according to the North Carolina Department of Health and Human Services.
These settlement funds are part of the $56 billion North Carolina received from the national opioid settlement lawsuit in 2021. Davidson County is slated to receive $23.4 million over the next 13 years.
On Monday, North Carolina Attorney General Jeff Jackson announced North Carolina will receive $145 million in a settlement with Purdue Pharma and its owners, the Sacker family. Davidson County is slated to receive an additional $2.3 million in funding from this recent settlement. Most of these funds will be distributed in the next three years according to the NC Department of Justice.
This would bring the Davidson County Opioid Settlement fund to approximately $12 million, which has mostly not been used. Last year, the county approved $1.2 million from opioid settlement funds toward the Medically Assisted Treatment program at the Davidson County Jail.
During the meeting on Tuesday, several committee members vented frustration on the lack of progress, stating they have met for several years and have yet to come up with a clear plan on how to spend these funds.
Lillian Koontz, director of the Davidson County Health Department, said she proposed the idea of hiring a coordinator for the opioid settlement funds over a year ago.
“These were the exact things we talked about and here we are a year later,” said Koontz. “We have not spent any money; we have not done any coordination… I strongly support using some of the opioid funds to identify a human being to do the research for us, to say how much money we have, to vet the programs and then bring solid ideas to us. As it is now, we just come into a meeting, hear some ideas and then we don’t meet again for several months and we are not doing anything.”
The committee members voted to send their recommendations to hire a coordinator/director to oversee the county opioid settlement funds to the county commissioners for approval during their meeting on June 23. If approved, the county manager would work with the county human resource director to create a job description and begin the hiring process.
Committee member Billy West, executive director of Daymark Recovery Services, said the committee should also consider granting smaller requests, under $10,000, to community partners until the new coordinator can be hired.
“It could be three or four months before that person actually gets (here),” said West. “In the meantime, there are other things that can be done so we are not viewed as a bunch of people sitting around with $12 million and won’t even spend $20,000 of it on local things.”
Mike Loomis, founder of Race Against Drugs, currently has a request for approximately $6,000 in funding from the Davidson County Opioid Settlement Committee and has not had any response from the group, or had his request sent to the county commissioners.
He is currently paying for educational materials, like several billboards to raise awareness of the impact of fentanyl overdoses, out of his own pocket. He purchases doses of Naloxone and distributes them in the community. Race Against Drugs also has an awareness event at Breeden Insurance Amphitheater in Lexington on Aug. 9.
Loomis said he is disappointed in the progress of the opioid committee, especially when it comes to supporting those in the community who are “boots on the ground” in battling opioid addiction.
“They are just waiting for another life to be lost,” said Loomis. “I have been doing this by myself for so long and I am up against the stigma of people struggling with addiction. I am disappointed, but I will keep doing what I do.”
County commissioner Steve Shell said the opioid committee can already bring any spending request for use of settlement funds for approval by the county commissioners.
The committee also discussed other options available to combat opioid addiction, including Naloxone (Narcan) vending machines, which would be available to citizens after hours. Several members showed hesitation on placing these machines in the community but voted to create a list of community partners which are already providing Naloxone.
The providers list would be available on the United Way 211 system. NC 211 is an information and referral service that connects people with local resources 24-hours a day.
Major Billy Louya, who oversees operations at the Davidson County Detention Center, gave an update on MAT program. He said since Jan. 1, there have been 27 participants in the program, which equals about 1% of inmates booked into the jail.
The MAT program uses once a month medication administered at the jail, instead of transporting inmates to local treatment clinics weekly and includes a peer support program after the inmate is released from detention.
The committee also discussed finding additional community partners to provide more post incarceration peer support.
The Davidson County Opioid Settlement Fund Committee meets quarterly and includes representatives from organizations impacted by opioid addiction, including the health department, law enforcement, family services, emergency services, county government, elected officials and community partners involved in prevention and recovery.
The United States is facing an alarming increase in overdose deaths among young people due to synthetic opioids.
The rate of drug overdose deaths involving synthetic opioids, which include fentanyl and fentanyl analogs, increased more than 20-fold between 2013 and 2022, according to the US Centers for Disease Control and Prevention.
Overdoses and drug poisonings are now the third leading cause of death in people under age 20, behind firearms and motor vehicle crashes.
The overdose death counts among US youth ages 15 to 24 rose from 4,652 to 6,723 between 2018 and 2022, according to a new study in the journal Pediatrics. (A slight decrease occurred between 2021 and 2022.)
The largest increase was seen in deaths involving only synthetic opioids: Since 2020, fatal overdoses involving only these substances were higher than overdoses in which multiple substances were implicated. Overdose rates were nearly 2.5 times higher among male youths compared with female youths and more than two times higher among those ages 20 to 24 compared with those ages 15 to 19.
As a parent, I wanted to know more about synthetic opioids and their uses. Why are they so dangerous, and how are overdoses treated? How can people tell if the drugs they are taking contain synthetic opioids? Crucially, what can parents and other family members do to help reduce the risk of overdose?
Congressman McDowell pledges to fight fentanyl crisis in North Carolina after losing his brother to an overdose.
SALISBURY, N.C. — The fentanyl crisis tearing through North Carolina isn’t just a public safety threat — it’s personal. At a high-level roundtable this week in Salisbury, that reality hit home as lawmakers, prosecutors, and grieving families joined forces to demand action.
Congressman Addison McDowell, who convened the meeting, opened with a message that carried more weight than politics.
“Getting it off our streets is just the first step,” McDowell said. “Prosecuting those who profit from fentanyl is a major step as well.”
For McDowell, the fight is more than a policy priority — it’s a personal mission. His younger brother died from a fentanyl overdose, a tragedy that inspired his run for Congress.
“We want to stop the deaths that come with this poison,” he told the room, surrounded by district attorneys, sheriffs, and special agents.
Among the voices calling for change was Barbara Walsh, founder of the Fentanyl Victims Network of North Carolina. She clutched a photo of her daughter, Sophia, as she told the story no parent should have to repeat.
“Sophia was 24. She went to visit friends in Watauga County. On her way out of town, she stopped for water,” Walsh said. “That bottle, unknown to her, had just eight nanograms of fentanyl. It was enough to kill her.”
Her story silenced the room — a chilling reminder that behind the data are names, faces, and futures cut short.
“It’s more than a number. Every photo is just one ripple in a massive pond of fentanyl deaths,” Walsh said.
Local sheriffs echoed her urgency, pointing to limited resources and the growing reach of drug trafficking networks.
“What I’ve seen in three years as sheriff — this is a local resource issue,” said Rowan County Sheriff Travis Allen.
Guilford County Sheriff Danny Rogers added, “We can’t fight this alone. We have to work with partners — every agency, every county.”
The roundtable, titled “Prosecuting the Poison,” ended with a commitment to tougher laws, better coordination, and faster action.
For leaders like McDowell and families like the Walsh’s’, that commitment can’t come soon enough.
If you or someone you know is struggling with addiction, help is available. Contact the Substance Abuse and Mental Health Services Administration (SAMHSA) helpline at 1-800-662-HELP.
BEAUFORT — It was standing room only as more than 50 people attended the forum about fentanyl Saturday at the Beaufort Train Depot. Those attending have witnessed the devastation fentanyl causes as local victim families introduced their loved ones and shared the many ways fentanyl causes death.
Barbara Walsh, executive director of the Fentanyl Victims Network of NC, who organized the gathering to honor those who lead the effort to stop fentanyl traffickers, said In many instances. Lethal fentanyl is ingested unknowingly. Fake prescription pills containing undisclosed fentanyl additives made to look like Adderall, Xanax, Percocet and Oxycontin are deadly.
“The victims did not know,” she said.
The pharmacy is the only safe dispenser of prescription medication. Recreational drugs also may contain undisclosed deadly fentanyl additives because it is a cheaper man-made ingredient.
Fentanyl is highly addictive. A person’s body can quickly become dependent on fentanyl. Local recovery and treatment resources are offered by Brooke Barnhill, manager of the Post Overdose Response Team (PORT) within the Carteret County Health Department.
Fentanyl has killed 18,959 North Carolina residents in 10 years, 2013-2023. Of those, 168 occurred in Carteret County.
Fentanyl Victims Network of North Carolina honored the #1 NC investigation and prosecution team by presenting them with the Save Lives Together award: Sheriff Asa Buck, District Attorney Scott Thomas, Prosecutorial District 4 (Carteret, Craven and Pamlico Counties), Assistant District Attorney Dave Spence, Carteret County and Legal Assistant (Paralegal) Michelle Gillikin, all of Carteret County.
Walsh said in the state, there are 37 NC Sheriffs who have no fentanyl investigation arrests leading to prosecution and four NC District Attorneys who have no prosecutions.
The removal of fentanyl traffickers who cause death requires teamwork. The Sheriff treats each death as a homicide investigation until proven otherwise. If the investigation leads to a prosecution, ADA Spence and LA Gillikin apply their extensive legal expertise to each case.
Walsh said victims and their families are treated with dignity and respect throughout the investigation and prosecution phases. This is unique to Carteret County.
“It should not matter where a person dies in NC to receive an investigation and justice, but it does,” she said
Walsh thanked Shannon Adams for serving as the local co-host of the event. Shannon’s brother, Ryan, thought he was dependent on Percocet, yet died in 2019 from undisclosed fentanyl additives in those pills.
Shawne Moran and Keenan, First Responder Therapy Dogs of Eastern North Carolina, were on hand to comfort the victim families and to discuss what they do to support recovery efforts in Carteret County.
More than 50 community members gathered at the Beaufort Train Depot Saturday to discuss the deadly impact of fentanyl in Carteret County. During the forum, Sheriff Asa Buck, District Attorney Scott Thomas, and other local officials received the Save Lives Together Award for their ongoing fight against fentanyl trafficking.
Families at the event shared personal stories about losing loved ones to fentanyl, highlighting the community’s urgent fight against the deadly drug.
One of those was Barbara Walsh who lost her Daughter to the deadly drug.
“It’s important for the families who lost a loved one to know that what their community is doing to keep someone else from dying,” said Walsh.
And In Carteret County alone, fentanyl overdoses have claimed 168 lives from 2013 through 2023.
According to Carteret County Sherriff Asa Buck a trend decreasing over the years.
“These cases are not different someone committed an act they provided a drug to someone caused them to lose their life and we investigate that just like a homicide and we prosecute those offenders just like we would if they would have killed somebody with a knife or a gun, ” said Sheriff Asa Buck
This past Saturday, a community forum addressing the impact of fentanyl in Carteret County was held at the Beaufort Train Depot. During the event, Sheriff Asa Buck, District Attorney Scott Thomas, Assistant District Attorney Dave Spence, and Legal Assistant Michelle Gillikin, all of Prosecutorial District 4, were honored with the Save Lives Together Award for their collaborative work in holding fentanyl traffickers accountable. Additionally, Brooke Barnhill, manager of the County’s Post Overdose Response Team (PORT), provided a Narcan (naloxone) demonstration and outlined local recovery resources.
Carteret County issued a news release from the event.
by Jaymie Baxley, North Carolina Health News April 14, 2025
By Jaymie Baxley
Naloxone is a widely available medication that can bring someone back from the brink of death in minutes, but cost, stigma and other barriers have kept the opioid overdose antidote out of reach for many of the North Carolinians who need it most.
In Wilson County, a new initiative aims to break down those barriers by giving residents free, 24/7 access to naloxone — no questions asked.
Repurposed newspaper dispensers filled with naloxone nasal spray were installed last month at five sites in the rural, eastern North Carolina county. These kiosks also contain information about recovery services for substance use disorder and testing strips that can be used to check illicit drugs for deadly substances such as fentanyl.
Jeff Hill, executive director of the coalition, said the goal of the kiosks is to “make sure that any person who needs a box of naloxone in Wilson County can access it at no charge.”
“Yes, over-the-counter Narcan is available, and yes, I can buy it at Walmart,” said Hill, referring to the brand name of naloxone. “But if I’m a person in early recovery who’s trying to help somebody, or I’m a person in active use or a family member of a person in active use with limited income, I might not have $50 to spend on that box of Narcan.”
Strategic placement
One of the kiosks was installed at BHG Wilson Professional Services, a center that provides medication-assisted treatment to residents recovering from opioid use disorder.
Amber Leclercq, program director for the center, said the kiosk was “strategically placed” on a side of the building that faces a row of tall bushes.
“With the vending machine being right there, it’s easy to access but also shaded enough to where other vehicles driving down the road don’t see,” she said. “If people are not yet ready to seek treatment or if they’re scared, this gives them the opportunity to discreetly obtain tools and information that might be life-changing. They’re taking the first step.”
The four other Wilson County kiosks are at county-owned facilities, including the local library, Health Department and Department of Social Services, and at Recovery Concepts Community Center, a coalition-run space that hosts meetings for addiction support groups.
Each kiosk was initially loaded with 25 boxes of naloxone and 100 testing strips. Hill said interest in the stations had surpassed the coalition’s expectations, with a couple of them needing to be restocked just days after they were installed on March 24.
“Our machine was one of the ones that got cleaned out pretty quickly,” said Lori Walston, director of communications for the Wilson County Department of Social Services. “We have a lot of foot traffic because of our agency and what we do. Also, the neighborhood where we sit is one of the neighborhoods of greater need in the community.”
Alisa Milliken, the department’s grants and wellness coordinator, said the agency also serves a number of residents experiencing homelessness — a population with an especially high risk of overdose.
“We have a lot of homeless people coming in on a daily basis needing food and things like that, so we expect that the Narcan will keep going pretty quickly, probably every time at our location,” she said.
Hill said the kiosks will be regularly replenished using funds from Wilson County’s share of a landmark court settlement with the pharmaceutical companies that allegedly fueled the national opioid epidemic. The county is set to receive a total of $7.8 million in annual payments through 2038.
Community education
Esteban Arizpe, a community paramedic with Wilson County EMS, said arming citizens with naloxone reduces strain on first responders.
“When someone calls 911 for an overdose and they’re actually administering the naloxone prior to EMS’ arrival, it greatly increases the chance of that person surviving while freeing up our units for other calls,” he said.
The kiosks not only provide easy access to naloxone, they also provide instructions on how to use it. Each station is equipped with a video player that gives a step-by-step tutorial for administering the drug.
“One thing that we strive for is to better ourselves and better our community by providing resources and giving them the education to know the signs and symptoms of an overdose, and how to treat it,” Arizpe said. “This is something that is helping us to meet that goal.”
Arizpe added that he’s seen a “great increase in knowledge” around naloxone and other tools such as syringe exchanges and testing strips — collectively known as harm reduction methods — among residents in recent years.
The increased awareness has coincided with a drop in emergency department visits. Admissions of overdose patients to the ER at Wilson Medical Center fell 36 percent from 2022 to 2025, according to DHHS data.
The grant used to buy and stock the kiosks came from the Rural Communities Opioid Response Program, a multi-year initiative managed by the U.S. Department of Health and Human Services’ Health Resources and Services Administration.
In addition to paying for the five kiosks in Wilson County, the money allowed the coalition to buy four stations to place in nearby Edgecombe, Nash, Warren and Wayne counties. The total cost for the project was $10,000.
Carole Johnson, former administrator of the federal Health Resources and Services Administration, speaks during an event announcing a $2.9 million grant for the Wilson County Substance Prevention Coalition in September 2024.
The kiosk for Wayne County was presented to the local Health Department. Margaret Brake, the department’s director, said she will be meeting with community partners this month to determine where it should be placed.
“We like the idea that people will have 24-hour access to naloxone,” she said. “Particularly if it’s someone that’s homeless or struggling—they can get what they need when they need it. We’ve even talked about putting some canned goods in there, just to have some additional things the community can use.”
Mark Winstead, a pastor at Restoration Purpose Church in the small Nash County town of Bailey, is also trying to find a good site for his community’s kiosk. He described Bailey, which had a population of fewer than 600 people at the 2020 U.S. Census, as a place where “everybody knows everybody.”
“There’s still a stigma there,” Winstead said. “But if I can put something somewhere, and maybe it’s a well-known commissioner’s son who’s battling addiction and he can discreetly come get naloxone, then that’s what it’s all about.”
“You can’t treat somebody that’s dead,” he added. “We gotta be able to save their life first — and then we can work on the rest of it.”
